Transference and countertransference in communication between doctor and patient

Hughes, Patricia; Kerr, Ian B.

doi:10.1192/apt.6.1.57

Cited by 55 publications

(32 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Rather than objective observation by the clinician, a phenomenon such as transference may be occurring (Hughes & Kerr, 2000): We expect burdened caregivers to behave in a particular way and subsequently interpret the behaviors we see as resulting from caregiver burden. While some burdened informal caregivers may react by frequently calling on support services, others likely suffer in silence, or worse, forgo indicated treatments and interventions that could potentially benefit their loved one.…”

Section: Discussionmentioning

confidence: 99%

Health Care Utilization Among Homebound Elders

et al. 2013

View full text Add to dashboard Cite

Objectives To describe informal caregiver and patient characteristics associated with high caregiver burden in homebound elders and to examine associations between high caregiver burden and patient health care utilization at the practice level. Method We used a cross-sectional and prospective cohort design to study 214 caregiver-patient dyads in a home-based primary care program. Results Informal caregivers with the highest burden were more likely to help with more activities of daily living and instrumental activities of daily living and spend >40 hr/week in caregiving. Patients whose caregivers experienced the highest burden were more likely to be non-White males without 24-hr paid homecare. There were no significant independent associations between high burden and high calls, high visits, or social work involvement. Discussion In this medically complex and highly dependent population, further study of how families and other caregivers impact health care utilization is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Health Care Utilization Among Homebound Elders

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Such emotions are often considered under the rubric of 'countertransference' and awareness of the transference/countertransference relationship 'allows reflection and thoughtful response rather than unthinking reaction from the doctor', as this journal has reported (Hughes 2000).…”

Section: Interpersonal Dynamics In Therapeutic Relationshipsmentioning

confidence: 99%

Good (or bad) vibrations: clinical intuition in violence risk assessment

Carroll¹

2012

Adv. psychiatr. treat

View full text Add to dashboard Cite

SummaryAssessment and management of the risk of violence in psychiatry inevitably and appropriately draws on emotionally laden ‘intuitive’ modes of thought, as well as deliberative analytic thinking. This article discusses the concept of ‘intuition’ and proposes a brief set of guidelines, derived from work by the cognitive psychologist Robin Hogarth, by which intuitive thinking may be applied by clinicians when undertaking risk assessment work. The guidelines are: consider the learning structure relevant to the risk assessment task; use your own emotions as a source of data; impose ‘circuit breakers' such as cost–benefit analyses and validated structured risk assessment tools; and use a narrative approach to develop formulations. The guidelines are intended to provide a framework for ongoing reflective practice in assessing and managing risk.

show abstract

“…An awareness of defence mechanisms such as splitting (the division of an object (person) into separate good and bad persons as a method of coping with conflict and anxiety) and the concept of transference (which describes the way in which we relate to the world on the basis of crucial past relationships) (Hughes & Kerr, 2000) is important. These ubiquitous unconscious processes can, if not identified, have powerful disruptive effects on interprofessional relations.…”

Section: Vignettementioning

confidence: 99%

Doctor to doctor: getting on with colleagues

Garelick¹,

Fagin²

2004

Adv. psychiatr. treat

View full text Add to dashboard Cite

Doctor-to-doctor relationships are explored. The impact of the employing organisation on working relationships is considered and methods of analysing problems at the organisational and individual level are described. The application of psychodynamic and systems theory in deepening understanding is discussed, illustrated by vignettes from the work situation. The impact of changes in the work environment are considered and potential sources of support listed.

show abstract

Transference and countertransference in communication between doctor and patient

Abstract: “The reasonable man adapts himself to the world; the unreasonable one persists in trying to adapt the world to himself” George Bernard Shaw, Maxims for Revolutionists.

Cited by 55 publications

References 6 publications

Health Care Utilization Among Homebound Elders

Health Care Utilization Among Homebound Elders

Good (or bad) vibrations: clinical intuition in violence risk assessment

Doctor to doctor: getting on with colleagues

Contact Info

Product

Resources

About